FORM 1023-EZ for STATE OFFICERS AND REGENTS CLUB

Field Data
EIN 84-2993534
Case Number EO-2019296-000372
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name STATE OFFICERS AND REGENTS CLUB
Organization’s Mailing Address 18 CHELSEA LN
City WINDSOR
State CT
ZIP 6095
Accounting period End 12
Primary contact name BETH WITHAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOLENE MULLEN
PRESIDENT
64 OLD RIDGE RD
NEW MILFORD CT 6776-3961

Officer/Director/Trustee Two

CAROLINE TAYLOR
FIRST VICE PRESIDENT
696 WEST MAIN RD
LITTLE COMPTON RI 2837

Officer/Director/Trustee Three

NANCY MERWIN
SECOND VICE PRESIDENT
284 CHESTERFIELD RD
OAKDALE CT 6370-1651

Officer/Director/Trustee Four

EVA WALTER
CHAPLAIN
512 WALLINGFORD RD
CHESHIRE CT 6410-2844

Officer/Director/Trustee Five

BETH WITHAM
TREASURER
18 CHELSEA LN
WINDSOR CT 6095-1420

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/71
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BETH WITHAM
Signature Title TREASURER
Signature Date 10/21/19

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